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CCIH 2013 Concurrent Session 2 Empowering Adolescents and Mothers Lauren VanEnk
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CCIH 2013 Concurrent Session 2 Empowering Adolescents and Mothers Lauren VanEnk

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The presentation features a project in Guatemala, Rwanda, and the US conducted by Georgetown University's Institute for Reproductive Health to develop and test a tool to help adolescent girls learn ...

The presentation features a project in Guatemala, Rwanda, and the US conducted by Georgetown University's Institute for Reproductive Health to develop and test a tool to help adolescent girls learn about, track, and better manage their menstrual cycles for improved health outcomes

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CCIH 2013 Concurrent Session 2 Empowering Adolescents and Mothers Lauren VanEnk CCIH 2013 Concurrent Session 2 Empowering Adolescents and Mothers Lauren VanEnk Presentation Transcript

  • E X P A N D I N G F A M I L Y P L A N N I N G O P T I O N S CYCLESMART KIT
  • Why ASRH and VYA? • Critically important issue worldwide but little progress on programs for very young adolescents • Ages 10 to 14 is a critical developmental period •solidifying sexual and gender identities, •developing attitudes and skills that lay the foundation for future sexual and reproductive health and wellbeing • Puberty- and fertility awareness empowers youth to make appropriate decisions about sexual behavior • Girls and boys often enter puberty with little information
  • Addressing the SRH needs of VYA IRH has developed tools that: • Address the gaps in materials for use in VYA SRH programs • These tools are centered on • Fertility awareness - the basis of understanding SRH • Body literacy - Enabling young people to recognize physical /emotional change plus how gender and social norms influence their sexual and reproductive selves • Safety and self care
  • Why a CYCLESMART KIT? • CycleBeads has been used in the United States and Africa to teach young people about puberty • No guidance or tools on how to use CycleBeads effectively to teach young people about fertility and puberty
  • The CYCLESMART Brochure • Uses colorful illustrations, young protagonists, storytelling, and games to convey information related to • tracking, understanding, and preparing for your menstrual cycle; • understanding the physical, psychological, and sociological changes that accompany puberty; • and tips on staying safe. • Adapted to each country context; exists in English, Kinyarwanda, Spanish
  • The CYCLESMART KIT • The CycleSmart Kit is designed to help young people, ages 10 to 14, develop an awareness of their emerging fertility and make decisions which promote their health • The CycleSmart Kit helps parents, teachers, health providers, peer- educators and others talk to young girls and boys about their changing bodies and how to stay healthy and safe • The basic CycleSmart Kit includes CycleBeads and a simple, factual brochure about puberty and fertility. It can also include sanitary pads, a diary, a calendar, and information on how to contact local health providers
  • CYCLESMART KIT Programmatic Guidelines • Provides tips and resources on how to use the CycleSmart Kit to teach boys and girls about puberty and fertility • Targeted toward youth-focused organizations, parents, educators, health providers, religious leaders and others • Intended to be user-friendly and practical
  • Product Development and Testing Developed CycleSmart brochure through: 10-15 Key Informant Interviews Desk Review FGDs with boys and girls (ages 15-17) Refined CycleSmart brochure through: 6 weeks of field-testing by VYA girls FGDs withVYA boys and girls (ages 12-14) FGD with parents of VYAs Tested Brochure+Pads as CycleSmart Kit through: 5 weeks of field-testing by 4 youth-serving organizations in 10 sites (urban and rural)
  • The Arts
  • Peer Education Community Dialogue MicroEnterprise
  • Key findings from Field-Testing • The CycleSmart Kit helped girls understand changes during their menstrual cycle, including natural secretions and menses. • Girls were able to easily use CycleBeads to track their menstrual cycles, determine their regularity, and prepare accordingly using AfriPads. • The CycleSmart Kit was appreciated by both VYAs and parents as a needed tool which filled a gap that no other tool or resource was addressing. • The CycleSmart Kit helped facilitate important puberty discussions between VYAs and their parents, peers and friends. • The CycleSmart Kit was able to generate interest among VYA boys regarding girls pubertal changes and their own
  • Quotes from Girls: “Since the time I used the CB, when the ring of my CB crosses the dark brown bead, I take my pads with me (in my bag) because I know my menses are approaching.” -VYA girl from Rwamagana Often we don’t know where to start in terms of talking to our kids about puberty so we just turn them away when they ask us about it. Thanks for this. The children have been more open about discussing and asking questions about their SRH. It’s important that children learn early about puberty changes. -Female parent from Rwamagana My mum used to ask me every day if I had moved the ring or if I had filled the diary, so I enjoyed it because she was closer to me and more concerned.” -VYA girl from Kicukiro
  • Quotes from Boys: Using [the CycleSmart Kit] to discuss puberty changes with parents or teachers will make us confident to discuss such things with any person,”VYA boy from Rwamagana “Although the brochure is mostly about girls, it’s important for boys to have this information because it helps us understand what girls are experiencing and to not tease them about it.” -VYA Boy from Nyabihu
  • CYCLESMART Evaluation • Objectives: Measure changes in knowledge and identify areas of brochure that need strengthening • 20-item self-administered questionnaire • Questions on menstruation, fertility, puberty, CB use, safety • N=198 (144 Female/ 49 male); age range 11-14 years old at baseline • N= 195 (141 Female/47 male); age range 11-14 years old at endline • Endline administered 5 weeks after intervention start • Preliminary findings show increase in correct responses between baseline and endline for all items (19/20 were statistically significant; 17 highly significant)
  • Menstruation 92 88 96 94 82 69 65 88 0 20 40 60 80 100 120 Boys Girls Boys Girls Baseline Endline BoysmenstruationHealthshedding % of correct responses
  • Puberty and Fertility 68 80 72 81 57 66 55 65 0 20 40 60 80 100 Boys Girls Boys Girls Baseline Endline BodychangesSecretionshealthy % of correct responses
  • Safety 92 96 94 93 74 82 78 78 0 20 40 60 80 100 120 Boys Girls Boys Girls Baseline Endline Alcoholriskychoicesprivateplaces
  • Use of CycleBeads 83 90 98 96 39 40 84 74 0 20 40 60 80 100 120 Boys Girls Boys Girls Baseline Endline UseofCBKeeponredbead
  • Considerations moving forward • Does use of CycleSmart Kit also contribute to changes in attitudes and behaviors? • How best to efficiently and effectively adapt Kit to new cultural settings? • Should CycleSmart Kit be “packaged” with other products (e.g. MCB, FlipBooks)?
  • E X P A N D I N G F A M I L Y P L A N N I N G O P T I O N S